Referent:in DRG-Abrechnungsprüfung / DRG-Manager (m/w/d) at IQVIA

Berlin, Berlin, Germany

IQVIA Logo
Not SpecifiedCompensation
Mid-level (3 to 4 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries

Requirements

  • Berufserfahrung im o.g. Aufgabenbereich z.B. als DRG-Analyst (m/w/d) oder im Medizincontrolling sowie fundierte Kenntnisse im DRG-System
  • Fundierte Grundlagenkenntnisse in der medizinischen Terminologie
  • Kenntnisse in den Abläufen der Krankenhausabrechnung bevorzugt als Mitarbeiter eines Krankenhauses oder Krankenhauskette
  • Sehr gute Kenntnisse des deutschen Gesundheitswesens auch über die Krankenhausabrechnung hinaus
  • Gute EDV Kenntnisse, z. B. Abrechnungssoftware, GKV-Software oder medizinischer Kodiersoftware
  • Eine ausgeprägte Team- und Kommunikationsfähigkeit sowie selbstständige Arbeitsweise
  • Hohe Einsatzbereitschaft und Kundenorientierung

Responsibilities

  • Unterstützung in der Prüfung stationärer Krankenhausabrechnungen unter Berücksichtigung gesetzlicher und vertraglicher Bestimmungen, der Kodierrichtlinien
  • Medizinische Grundlagenprüfung inklusive der Identifizierung von Interventionsansätzen
  • Einleitung, Überwachung sowie Auswertungen von MD Gutachten
  • Telefonische Betreuung und Beratung unserer Kunden sowie Leistungserbringern
  • Entwicklung neuer Dienstleistungen und Produkte für Leistungserbringer sowie Kostenträgern

Skills

Key technologies and capabilities for this role

DRG-SystemAbrechnungsprüfungMedizincontrollingMedizinische TerminologieKrankenhausabrechnungDeutsches GesundheitswesenAbrechnungssoftwareGKV-SoftwareMedizinischer Kodiersoftware

Questions & Answers

Common questions about this position

What benefits are offered for this position?

Benefits include flexible working hours, mobile working/home office for work-life balance, comprehensive onboarding with mentors, 30 days of annual leave, attractive compensation with voluntary one-time payments, and a monthly subsidy for the company ticket.

Is remote work or home office possible in this role?

Yes, the position offers the possibility of mobile working/home office to support work-life balance, along with flexible working hours.

What skills and experience are required for this DRG-Manager role?

Required experience includes work in DRG analysis, medical controlling, or similar, with solid knowledge of the DRG system, medical terminology, German healthcare system, hospital billing processes, and good IT skills in billing or coding software. Strong team and communication skills, independent working style, high commitment, and customer orientation are also essential.

What is the company culture like at CONVEMA/IQVIA?

The company offers a pleasant and open working atmosphere, a modern location, flexible working hours, and comprehensive onboarding with mentors.

What makes a strong candidate for this DRG-Abrechnungsprüfung role?

Candidates with professional experience as a DRG analyst or in medical controlling, solid DRG system knowledge, medical terminology expertise, hospital billing background, and strong customer orientation stand out.

IQVIA

Advanced analytics and clinical research services

About IQVIA

IQVIA provides advanced analytics, technology solutions, and clinical research services specifically for the life sciences industry. Their services utilize extensive data resources and technology to create connections within healthcare, allowing clients to gain insights that help speed up the development and marketing of new medical treatments. This process is facilitated by their IQVIA Connected Intelligence™ system, which offers quick and flexible insights. IQVIA stands out from competitors by focusing on patient privacy, employing various technologies to protect individual data. The company's goal is to enhance healthcare outcomes by supporting biotech, pharmaceutical, and medical device companies, as well as researchers and government agencies, in understanding diseases and advancing medical science.

Durham, North CarolinaHeadquarters
1998Year Founded
$3,526MTotal Funding
POST_IPO_EQUITYCompany Stage
Cybersecurity, Biotechnology, HealthcareIndustries
10,001+Employees

Risks

Rapid advancement of cancer vaccines may disrupt traditional clinical research models.
Proliferation of disparate technological solutions causes technology overload in clinical trials.
Generative AI technologies face challenges in adoption due to data privacy concerns.

Differentiation

IQVIA leverages advanced analytics and big data for life sciences solutions.
The company offers privacy-enhancing technologies to protect individual patient data.
IQVIA's AI Assistant provides rapid, actionable insights for healthcare and life sciences.

Upsides

Increased adoption of decentralized clinical trials enhances patient-centric study designs.
AI-driven drug discovery accelerates identification of potential drug candidates.
Expansion of telemedicine facilitates remote patient monitoring and data collection.

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